Blood Pressure Control and Associated Factors in a Real-World Team-Based Care Center.


BACKGROUND:Although team-based care is recommended for patients with hypertension, results of this intervention in a real-world setting are missing in the literature. OBJECTIVE:To report the results of a real-world long-term team-based care for hypertensive patients we conducted this study. METHODS:Data of hypertensive patients attending a multidisciplinary treatment center located in the Midwest region of Brazil in June 2017 with at least two follow-up visits were retrospectively assessed. Anthropometric, blood pressure (BP), follow-up time, pharmacological treatment, diabetes and lifestyle data were collected from the last visit to the service. BP values < 140 x 90 mmHg in non-diabetics and < 130 x 80 mmHg in diabetics were considered controlled. A logistic regression model was built to identify variables independently associated to BP control. Significance level adopted p < 0.05. RESULTS:A total of 1,548 patients were included, with a mean follow-up time of 7.6 ± 7.1 years. Most patients were female (73.6%; n=1,139) with a mean age of 61.8 ±12.8 years. BP control rates in all the sample, and in non-diabetics and diabetics were 68%, 79%, and 37.9%, respectively. Diabetes was inversely associated with BP control (OR 0.16; 95%CI 0.12-0.20; p<0.001) while age ≥ 60 years (OR 1.48; 95%CI 1.15-1.91; p=0.003) and female sex (OR 1.38; 95%CI 1.05-1.82; p=0.020) were directly associated. CONCLUSIONS:A BP control rate around 70% was found in patients attending a multidisciplinary team care center for hypertension. Focus on patients with diabetes, younger than 60 years and males should be given to further improve these results. (Arq Bras Cardiol. 2020; 115(2):174-181). FUNDAMENTO:Apesar de se recomendar a intervenção em equipe no tratamento da hipertensão, resultados dessa abordagem em ambientes do mundo real são escassos na literatura. OBJETIVOS:Apresentar os resultados de uma estratégia terapêutica baseada em equipe, de longo prazo, de pacientes hipertensos em um serviço de saúde. MÉTODOS:Dados de pacientes hipertensos acompanhados em um centro de tratamento multidisciplinar localizado na região centro-oeste do Brasil em junho de 2017 com pelo menos duas visitas de acompanhamento foram avaliados retrospectivamente. Dados antropométricos, pressão arterial (PA), tempo de acompanhamento, tratamento farmacológico, diabetes, estilo de vida foram coletados da última consulta. Valores de PA < 140 x 90 mmHg em não diabéticos e < 130 x 80 mmHg em diabéticos foram considerados PA controlada. Um modelo de regressão logística foi construído para identificar variáveis independentemente associadas com o controle da PA. O nível de significância adotado foi de p<0.05. RESULTADOS:Foram incluídos 1548 pacientes, com média de acompanhamento de 7,6 ± 7,1 anos. A maioria dos pacientes eram mulheres (73,6%; n=1139), com idade média de 61,8 anos. As taxas de controle da PA na amostra total, em não diabéticos e nos diabéticos foram 68%, 79%, e 37,9%, respectivamente. Diabetes associou-se inversamente com controle da PA (OR 0,16; IC95% 0,12-0,20; p<0,001), enquanto idade ≥ 60 anos (OR 1,48; IC95% 1,15-1,91; p=0,003) e sexo feminino (OR 1,38; IC95% 1,05-1,82; p=0,020) apresentaram associação direta. CONCLUSÕES:Uma taxa de controle de cerca de 70% foi encontrada em pacientes atendidos em um serviço multidisciplinar de tratamento da hipertensão. A fim de melhorar esses resultados, atenção deve ser dada a pacientes diabéticos, com idade menor que 60 anos e do sexo masculino. (Arq Bras Cardiol. 2020; 115(2):174-181).


Arq Bras Cardiol


Jardim TV,Souza ALL,Barroso WKS,Jardim PCBV




Has Abstract


2020-08-28 00:00:00














  • Predictors of hospital mortality in hemodynamically stable patients with pulmonary embolism.

    abstract:BACKGROUND:Pulmonary embolism is associated with high mortality in patients with hypotension or circulatory shock. However, the association between some clinical variables and mortality is still unclear in hemodynamically stable patients. OBJECTIVES:To derive an in-hospital mortality risk stratification model in hemod...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,多中心研究


    authors: Volschan A,Albuquerque D,Tura BR,Knibel M,Esteves JP,Bodanese LC,Silveira F,Pantoja J,Souza PC,Mansur J,Mesquita ET,EMEP (Estudo Multicêntrico de Embolia Pulmonar) investigators.

    更新日期:2009-08-01 00:00:00

  • Ruthenium Complex Improves the Endothelial Function in Aortic Rings From Hypertensive Rats.

    abstract:Background::The endothelium is a monolayer of cells that extends on the vascular inner surface, responsible for the modulation of vascular tone. By means of the release of nitric oxide (NO), the endothelium has an important protective function against cardiovascular diseases. Objective::Verify if cis- [Ru(bpy)2(NO2)(N...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Vatanabe IP,Rodrigues CNDS,Buzinari TC,Moraes TF,Silva RSD,Rodrigues GJ

    更新日期:2017-06-29 00:00:00

  • [Cardiac amyloidosis. A disease with many faces and different prognosis].

    abstract:PURPOSE:To identify the principal forms of cardiac amiloydosis presentation in a terciary hospital. METHODS:Eight cases with cardiac amyloidosis were identified. Five were women, their ages ranged from 23 to 83 years (mean 62). After a medical history and clinical examination the patients were submitted to complementa...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Barretto AC,Precoma D,Serro-Azul JB,Wajngarten M,Pierri H,Pivotto L,Nussbacher A,Gebara OC,Bellotti G

    更新日期:1997-08-01 00:00:00

  • Blood pressure measurement during aerobic exercise: subsidies for cardiac rehabilitation.

    abstract:BACKGROUND:Institutional documents recommend that hemodynamic variables--heart rate (HR) and systolic (SAP) and diastolic arterial pressure (DAP)--be routinely controlled at the aerobic part of supervised exercise sessions for coronary disease patients. OBJECTIVE:a) to determine the pattern and reproducibility of the ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Furtado EC,Ramos Pdos S,Araújo CG

    更新日期:2009-07-01 00:00:00

  • Prevalence and surgical approach of supravalvular pulmonary stenosis after Jatene operation for transposition of great arteries.

    abstract:BACKGROUND:The Transposition of the Great Arteries is the most frequent congenital cyanogenic cardiopathy in the neonatal period, corresponding to 7% of all congenital cardiopathies. Among the operations for surgical treatment, the Jatene operation, with arterial correction, is the treatment of choice. During the late ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,多中心研究


    authors: Jatene MB,Jatene IB,Oliveira PM,Moysés RA,Souza LC,Fontes V,Miura N,Lopes AA,Marcial MB,Jatene AD

    更新日期:2008-07-01 00:00:00

  • Metabolic abnormalities, antiretroviral therapy and cardiovascular disease in elderly patients with HIV.

    abstract::One of the most recent phenomena related to the acquired immunodeficiency syndrome (AIDS) is the emergence of a new vulnerable population: the elderly. One of the factors that account for this increase is the development of combination antiretroviral therapy (ART), which has provided better quality of life and life ex...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审


    authors: Kramer AS,Lazzarotto AR,Sprinz E,Manfroi WC

    更新日期:2009-11-01 00:00:00

  • Vaccination against the influenza virus and mortality due to cardiovascular diseases in the city of Sao Paulo.

    abstract:BACKGROUND:The effect of vaccination against the influenza virus on the mortality due to cardiovascular diseases (CVD) remains controversial. OBJECTIVE:To analyze the mortality by CVD before and after the start of the vaccination against the Influenza virus in the city of Sao Paulo, Brazil. METHODS:We analyzed the mo...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Mansur Ade P,Favarato D,Ramires JA

    更新日期:2009-10-01 00:00:00

  • [Cardiovascular diseases observed during follow-up of a group of patients with undetermined form of Chagas' disease].

    abstract:PURPOSE:The aim of this study was to evaluate the cardiovascular outcome in patients with the undetermined form of Chagas' disease and whether or not it is related to the infectious disease in the long-term. METHODS:One hundred and sixty patients were prospectively followed-up at three month intervals for up to 177 mo...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Ianni BM,Mady C,Arteaga E,Fernandes F

    更新日期:1998-07-01 00:00:00

  • Gene expression related to oxidative stress in the heart of mice after intestinal ischemia.

    abstract:BACKGROUND:Intestinal ischemia-reperfusion is a frequent clinical event associated to injury in distant organs, especially the heart. OBJECTIVE:To investigate the gene expression of oxidative stress and antioxidant defense in the heart of inbred mice subjected to intestinal ischemia and reperfusion (IR). METHODS:Twel...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Somaio Neto F,Ikejiri AT,Bertoletto PR,Chaves JC,Teruya R,Fagundes DJ,Taha MO

    更新日期:2014-02-01 00:00:00

  • Technical difficulty in stenting Supralimus in radial artery graft.

    abstract::Woman, 67 years old, with unstable angina and history of myocardial revascularization: left internal thoracic artery to anterior descending artery and graft with radial artery (RA) to right coronary artery branches. Coronariography showed stenosis of 90% in the RA graft, treated with conventional stent. After two mont...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Meireles GC,Kreimer S,Galon MZ,Marchiori GG

    更新日期:2011-04-01 00:00:00

  • [Hypolipidemic treatment under special conditions: posttransplant and/or immunosuppressive therapy].

    abstract::There are limited data regarding the use of hypolipidemic agents concomitantly with immunosuppressive drugs. Best evidence is provided for the use of statins and cyclosporine. In terms of pharmacodynamics, these two drugs have different substrates. In respect to pharmacokinetics, statins usually do not modify serum co...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Izar MC

    更新日期:2005-10-01 00:00:00

  • Relationship between cardiac adrenergic image and exercise testing in heart failure.

    abstract:BACKGROUND:The exercise treadmill test can be used in ventricular dysfunction patients for functional capacity or predicting prognosis. The cardiac image with 123I MIBG shows cardiac sympathetic activation. OBJECTIVE:To evaluate the relationship between exercise treadmill test variables and cardiac image changes in 12...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Rocha Messias L,de Queiroz Carreira MÂ,Ribeiro de Miranda SM,Cunha de Azevedo J,Ambrósio Gava I,Campos Rodrigues R,Maróstica E,Lucas da Nóbrega AC,Tinoco Mesquita C

    更新日期:2011-05-01 00:00:00

  • [Treatment of femoral false aneurysms following cardiac catheterization with compression and color Doppler echocardiography monitoring].

    abstract:PURPOSE:To evaluate the efficiency of a non-surgical treatment of the femoral false aneurysm following cardiac catheterization using the color Doppler echocardiography monitorization. METHODS:From August 1993 to October 1996, 17 patients were evaluated by the color Doppler echocardiography, 7 women and 10 men, between...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Engelhorn CA,Picheth FS,Castro Júnior N,Dabul Júnior NM,Engelhorn AL,Casagrande C

    更新日期:1997-06-01 00:00:00

  • Validation of the Killip-Kimball classification and late mortality after acute myocardial infarction.

    abstract:BACKGROUND:The classification or index of heart failure severity in patients with acute myocardial infarction (AMI) was proposed by Killip and Kimball aiming at assessing the risk of in-hospital death and the potential benefit of specific management of care provided in Coronary Care Units (CCU) during the decade of 60....

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Mello BH,Oliveira GB,Ramos RF,Lopes BB,Barros CB,Carvalho Ede O,Teixeira FB,Arruda GD,Revelo MS,Piegas LS

    更新日期:2014-08-01 00:00:00

  • Clinical, Anthropometric and Biochemical Characteristics of Patients with or without Genetically Confirmed Familial Hypercholesterolemia.

    abstract:BACKGROUND:Familial hypercholesterolemia (FH) is a common autosomal dominant disorder, characterized by a high level of low-density lipoprotein cholesterol (LDL-C) and a high risk of premature cardiovascular disease. OBJECTIVE:To evaluate clinical and anthropometric characteristics of patients with the familiar hyperc...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Lorenzo A,Silva JDLD,James CE,Pereira AC,Moreira ASB

    更新日期:2018-02-01 00:00:00

  • Dobutamine stress echocardiography-induced broken heart syndrome (Takotsubo Syndrome).

    abstract::We report a case of dobutamine stress echocardiography-induced Takotsubo syndrome in a 76-year-old hypertensive patient with clinical complaints of chest pain in an elective visit to the cardiologist. Dobutamine-stress-echocardiography was requested to rule out chest pain of coronary origin. During the test, at peak e...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Vasconcelos Filho FJ,Gomes CA,Queiroz OA,Barreto JE

    更新日期:2009-07-01 00:00:00

  • Hypomethylation of Interleukin-6 Promoter is Associated with the Risk of Coronary Heart Disease.

    abstract:BACKGROUND:Interleukin-6 (IL-6) is implicated in the pathogenesis of coronary heart disease (CHD), and IL-6 expression has associated with reduced DNA methylation of its gene promoter. However, there are no data on IL-6 promoter methylation and the risk of CHD. OBJECTIVE:To examine whether IL-6 promoter methylation me...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Zuo HP,Guo YY,Che L,Wu XZ

    更新日期:2016-08-01 00:00:00

  • [Pulmonary atresia with intact ventricular septum. Valvar perforation by radiofrequency].

    abstract::Six days old neonate with pulmonary atresia and intact ventricular septum is reported in which a communication was established between the right ventricle and the pulmonary artery. The membraneous atresia was perforated with a special radiofrequency catheter 2F connected to a Hat 200S radiofrequency generator (Osypka)...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Fontes VF,Esteves CA,Braga SL,Acuña U,Santana MV,de Oliveira LM,Pedra SR,Sousa JE

    更新日期:1995-03-01 00:00:00

  • Degree of Agreement between Cardiovascular Risk Stratification Tools.

    abstract:Background::Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in Brazil, and primary prevention care may be guided by risk stratification tools. The Framingham (FRS) and QRISK-2 (QRS) risk scores estimate 10-year overall cardiovascular risk in asymptomatic individuals, but the instrument of c...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Garcia GT,Stamm AMNF,Rosa AC,Marasciulo AC,Marasciulo RC,Battistella C,Remor AAC

    更新日期:2017-05-01 00:00:00

  • [Origin of left coronary artery from right and left pulmonary arteries--clinical, anatomico surgical and follow-up evaluation of 3 cases].

    abstract::Three infants with anomalous origin of left coronary artery, being two from the right pulmonary artery and one from the left, without other congenital defects, ages of 5, 15 and 3 months old, presented with early congestive heart failure due to anterolateral myocardial infarction. Anatomical characteristic was peculia...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Atik E,Marcial MB,Ikari NM,Kajita L,Machado D,Ebaid M,Jatene A

    更新日期:1991-08-01 00:00:00

  • Leisure-Time Physical Activity, but not Commuting Physical Activity, is Associated with Cardiovascular Risk among ELSA-Brasil Participants.

    abstract:BACKGROUND:Despite reports in the literature that both leisure-time physical activity (LTPA) and commuting physical activity (CPA) can promote health benefits, the literature lacks studies comparing the associations of these domains of physical activity with cardiovascular risk scores. OBJECTIVE:To investigate the ass...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Pitanga FJG,Matos SMA,Almeida MDC,Barreto SM,Aquino EML

    更新日期:2018-01-01 00:00:00

  • [Treatment of systemic arterial hypertension with urapidil. Study in mild and moderate hypertension with ambulatory monitoring of arterial pressure].

    abstract:PURPOSE:To study the efficacy and tolerability of urapidil in patients with mild and moderate arterial hypertension, including ambulatory blood pressure monitoring (ABPM). METHODS:Twenty patients, either sex, 40 to 75 years old, with diastolic blood pressure (DBP) between 90 to 115mmHg were studied. The DBP was the fo...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Nobre F,Nogueira JL

    更新日期:1993-07-01 00:00:00

  • Prevalence of cardiovascular risk factors in elderly individuals treated in the Brazilian Public Health System in Goiânia.

    abstract:BACKGROUND:Cardiovascular risk factors (CVRF) present a high prevalence and have an impact on the morbimortality of the elderly; however, this question is still unknown by the elderly treated in the Brazilian Public Health System (SUS). OBJECTIVE:To investigate the prevalence of CVRF among the elderly treated by SUS i...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Conceição Ferreira CC,Peixoto Mdo R,Barbosa MA,Silveira EA

    更新日期:2010-10-01 00:00:00

  • Atypical presentation of Kommerell's diverticulum.

    abstract::The authors report a case of a 65-year-old male patient who, after complaint about retrosternal discomfort and going through a thoracic radiography with mediastinal enlargement, was submitted to magnetic resonance angiography, which detected a right aortic arch with aberrant left subclavian artery and Kommerell divert...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审


    authors: Barranhas AD,Indiani JM,Marchiori E,Santos AA,Rochitte CE,Nacif MS

    更新日期:2009-12-01 00:00:00

  • Isolated unilateral pulmonary artery agenesis: evaluation of natural and long term evolution after corrective surgery.

    abstract:OBJECTIVE:Unilateral pulmonary artery agenesis is an uncommon isolated anomaly and since 1978 only 119 cases have been reported. In general the condition presents as pulmonary hypertension (PH) in children and hemoptysis in adults. Interventions such as pulmonary artery reconstruction and lobectomies were performed in ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Atik E,Tanamati C,Kajita L,Barbero-Marcial M

    更新日期:2006-10-01 00:00:00

  • Effects of the use of theoretical versus theoretical-practical training on CPR.

    abstract:BACKGROUND:Theoretical knowledge and skill to perform good quality cardiopulmonary resuscitation (CPR) are essential for the survival of patients with sudden death. OBJECTIVE:To determine whether a theoretical course alone is sufficient to promote good quality CPR training and knowledge for health professionals in com...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Miotto HC,Camargos FR,Ribeiro CV,Goulart EM,Moreira Mda C

    更新日期:2010-09-01 00:00:00

  • Relation between the behaviors of P-wave and QT dispersions in elderly patients with heart failure.

    abstract:OBJECTIVE:To assess the relation between P-wave and QT dispersions in elderly patients with heart failure. METHODS:Forty-seven elderly patients (75.6+/-6 years) with stable heart failure in NYHA functional classes II or III and with ejection fractions of 37+/-6% underwent body surface mapping to analyze P-wave and QT ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Szlejf C,Rays J,Gebara OC,Vieira NW,Pierri H,Nussbacher A,Serro-Azul JB,Samesima N,Pastore CA,Wajngarten M

    更新日期:2002-11-01 00:00:00

  • [Acute myocardial infarct in a patient with dextrorotation].

    abstract::A 79-year-old woman developed myocardial infarction associated with acute pulmonary edema. The electrocardiogram recorded QRS complex of QS type in V1 with upper ST extending from V3R to V6R. The polarity of the P wave in bipolar leads was positive, so compatible with dextrorotation complicated by myocardial infarctio...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审


    authors: Albanesi Filho FM,Ginefra P,Magalhães ME,de Albuquerque DC

    更新日期:1992-07-01 00:00:00

  • Multiple arterial anomalies in the newborn infant. Echocardiographic and angiographic diagnosis.

    abstract::Multiple arterial anomalies characterized by tortuosity and rolling of the pulmonary arteries and aorta were diagnosed on echocardiography in an asymptomatic newborn infant with a phenotype suggesting Ehlers-Danlos syndrome. These changes were later confirmed on angiography, which also showed peripheral vascular abnor...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Rivera IR,Gomes L,Moisés VA,Silva CC,Andrade JL,Carvalho AC

    更新日期:2000-08-01 00:00:00

  • Left ventricular hypertrophy evaluation in obese hypertensive patients: effect of left ventricular mass index criteria.

    abstract:PURPOSE:To evaluate left ventricular mass (LVM) index in hypertensive and normotensive obese individuals. METHODS:Using M mode echocardiography, 544 essential hypertensive and 106 normotensive patients were evaluated, and LVM was indexed for body surface area (LVM/BSA) and for height2 (LVM/h2). The 2 indexes were then...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章


    authors: Rosa EC,Moyses VA,Sesso RC,Plavnik FL,Ribeiro FF,Kohlmann NE,Ribeiro AB,Zanella MT,Kohlmann O Jr

    更新日期:2002-04-01 00:00:00